CMS Price Transparency Data

Total knee replacement

Facility: North Sunflower Medical Center Cah

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$2,796

about 0.2× the $13,117 Medicare rate · typically $1,247–$11,698

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $2,796 Cash price $2,375 Hospital's list price $4,750

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$695 - $2,672	5%
Blue Cross Blue Shieldmajor	$5,200	40%
Aetnamajor	$1,231 - $3,536	9%
Humanamajor	$1,231 - $2,756	9%
Ambetter (Centene)	$1,081 - $2,784	8%
+ 1 smaller / regional plan	$1,523 - $3,380

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,375), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27447.

Insurance Before you use insurance

Call your insurance company to confirm North Sunflower Medical Center Cah is in-network.
Ask your insurer whether prior approval is required for CPT code 27447.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Sunflower Medical Center Cah

Compare: Total knee replacement at other MS hospitals

Baptist Memorial Hospital-Oktibbeha County · Starkville $4,481
Singing River Gulfport · Gulfport $11,345
Merit Health Wesley · Hattiesburg $11,417
Memorial Hospital Biloxi · Biloxi $11,576
Ochsner Medical Center-Hancock · Bay Saint Louis $11,932
Singing River Health System · Pascagoula $12,023
Merit Health River Region · Vicksburg $12,242
Merit Health Natchez · Natchez $12,302

Insurance negotiated median for the same procedure, sorted lowest first.